By using this site, you agree to the Privacy Policy and Terms of Use.
Accept
Health Works CollectiveHealth Works CollectiveHealth Works Collective
  • Health
    • Mental Health
    Health
    Healthcare organizations are operating on slimmer profit margins than ever. One report in August showed that they are even lower than the beginning of the…
    Show More
    Top News
    bowl of vegetable salad
    Raw Foods: benefits and harms
    November 9, 2021
    pros and cons of the keto diet
    Read This Before You Follow the Keto Diet
    May 18, 2022
    spinal cord injuries
    4 Potential Causes of Spinal Cord Injuries (and How to Seek Compensation)
    May 25, 2022
    Latest News
    7 Most Common Healthcare Accreditation Programs: Which Should You Use?
    August 20, 2025
    Hospital Pest Control and the Fight Against Superbugs
    August 20, 2025
    Hygiene Beyond The Clinic: Attention To Overlooked Non-Clinical Spaces
    August 13, 2025
    5 Steps to a Promising Career as a Healthcare Administrator
    August 3, 2025
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
    Policy and Law
    Get the latest updates about Insurance policies and Laws in the Healthcare industry for different geographical locations.
    Show More
    Top News
    TBI: Some Surprising Statistics
    February 9, 2016
    Your Keys to Safer, Even More Secure Healthcare Cloud Services
    January 13, 2015
    4 Career Options in Healthcare Industry that Combine Big Data & Healthcare
    February 5, 2021
    Latest News
    How Social Security Disability Shapes Access to Care and Everyday Health
    August 22, 2025
    How a DUI Lawyer Can Help When Your Future Health Feels Uncertain
    August 22, 2025
    How One Fall Can Lead to a Long Road of Medical Complications
    August 22, 2025
    How IT and Marketing Teams Can Collaborate to Protect Patient Trust
    July 17, 2025
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: Physician Burnout: The Four Horsemen of the Burnout Apocalypse
Share
Notification Show More
Font ResizerAa
Health Works CollectiveHealth Works Collective
Font ResizerAa
Search
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Specialties > Physician Burnout: The Four Horsemen of the Burnout Apocalypse
Specialties

Physician Burnout: The Four Horsemen of the Burnout Apocalypse

dikedrummond
dikedrummond
Share
10 Min Read
physician burnout and the four horsemen of the physician burnout apocalypse
SHARE

 

Contents
  • Call it the “brainwashing” of our medical education if you will
  • The Brainwashing of Medical Education
  • The Four Horsemen of the Physician Burnout Apocalypse
    • => Workaholic => Superhero => Emotion Free => Lone Ranger
    • How deeply are we brainwashed?
    • If your only tool is a hammer, every thing looks like a nail
    • I help my clients see this conditioning when it appears as automatic behavior that is driving their physician burnout …
  • Here are a few examples:
  • Our Brainwashing is only ONE of the Four Main Causes of Physician Burnout
  • Next Steps:
    • Here’s a simple way to expose your own brainwashing and lower your physician burnout risk.

 

physician burnout and the four horsemen of the physician burnout apocalypse

Physician Burnout is a constant, prevalent, looming threat over doctors everywhere. Over the last 20 years surveys have shown an average of 1 in 3 doctors suffering from physician burnout on any given office day – worldwide, regardless of specialty. The question is why?

Yes, the nature of our work is difficult, stressful and draining AND there are other parts to this Venn Diagram of physician burnout – and some of them are hidden.

More Read

What This Nurse is Grateful For
What This Nurse is Thankful For
The 5 Major Causes of Patient Falls
Body Pain And Chiropractic Care: How Are They Related?
5 Helpful Tips For Picking A New Dentist
Dangerous 18 Hours Shifts in Nursing Homes

In my work with hundreds of over stressed physicians I have isolated one of the major invisible causes of physician burnout – the pervasive mental conditioning of our training process.

Call it the “brainwashing” of our medical education if you will

In this article I will show you four “flavors” of this conditioning – how and why they develop and how they contribute to our physician burnout epidemic.

==========

The Brainwashing of Medical Education

Yes, indeed, we are most certainly brainwashed by our medical education. There is a set of attitudes and behaviors that are expected of us while in training that become subconscious and automatic by the time we are board certified.  These automatic behaviors set us up for physician burnout in private practice.

Here are the four flavors I routinely see in my over stressed physician clients.

NOTE: to most doctors these behavior patterns are invisible and unrecognized. You will see in a second why they virtually guarantee physician burnout in your 40’s and 50’s if they continue to sit in your blind spot.

The Four Horsemen of the Physician Burnout Apocalypse

Here they are in all their glory … see if they feel familiar to you.

 

=> Workaholic
=> Superhero
=> Emotion Free
=> Lone Ranger

These four behaviors are actually functional – even essential – when we use them to get through a rough night on call or a particularly onerous clinical rotation. However, they go much deeper than that in most doctors.

The process of becoming a doctor is so extremely challenging to most of us that we cannot help but feel our survival is threatened from time to time. So these four behaviors/attitudes get driven into our mental programming as a Survival Mechanism. We learn them at a deep subconscious level and can’t turn them off.

How deeply are we brainwashed?

Basic training in the military is 8 weeks. In that time they can condition an 18 year old to take a bullet on command. Medical education is a minimum of 7 years. (how long did it take you from your first day in medical school to your first day in private practice?) I believe there is no more thorough conditioning program on the planet than becoming a doctor.

If your only tool is a hammer, every thing looks like a nail

– and that is the problem. Not everything in a doctor’s world is a nail … especially after you graduate to private practice and the rest of your life. Physician burnout results when these four become “overused strengths”.

Being a workaholic superhero emotion-free lone ranger is an absolute requirement to make it through a 72 hour shift in your residency and it is NOT a great way to

– Be in a loving relationship

– Raise your kids

– Get your own needs met

– Or live your life

I help my clients see this conditioning when it appears as automatic behavior that is driving their physician burnout …

– when they are using this set of hammers to drive things that are NOT nails.

Here are a few examples:

============

=> When your only response to a challenge or “problem” in your practice is to work harder — that is your workaholic programming. I can assure you there are other ways to address almost any practice issue that do NOT involve you personally working harder.

============

=> When you feel like every challenge for your patients, your staff, your family and yourself sits on your shoulders and you “should” be able to solve them all — that is your Superhero programming. You are human. You are not a god. Learn to say, “I don’t know the answer to that” or “I wish I could help here, I wonder what you will decide to do?” and let things go that are outside your control. Breathe.

============

=> When you have strong feelings of fear, sadness, anguish, helplessness, love, joy, compassion, empathy … don’t stuff them. That is just your emotion free programming . AND please don’t feel guilty for having them in the first place.You are human, you will have feelings. This is part of what makes life rich, juicy and worth living. Let them flow. Don’t bottle them up. And never be afraid to tell someone what you are feeling in the moment – especially your work team – it lets them know you are not superhuman.

============

=> When you micromanage, can’t let things go and drive you and everyone around you crazy by having to do everything yourself — that is just your Lone Ranger programming. Yes, you are ultimately responsible for the outcomes in your practice (and your life) and you CAN ask for support. You can delegate and create systems that will take away some of your burden while delivering the quality you demand. It is possible.

============

 

For most of us these four horsemen and their automatic behaviors are deeply subconscious. Remember that you spent a minimum of 7 years installing them in your psyche – deliberately, consciously, through thousands of hours of dedicated study and on the job training. No wonder they poke there heads into all areas of your life – and not always in a good way. AND this is not the only risk factor for physician burnout.

Our Brainwashing is only ONE of the Four Main Causes of Physician Burnout

So the way I visualize the causes physician burnout is like this — and it is a four part Venn Diagram

physician burnout doctor burnout four causes

1) Physician Burnout Cause #1

The stressful, draining nature of the clinical practice of medicine. We have a tough job to begin with. Lots of responsibility and very little control. If clinical medicine was the only thing we had to worry about, physician burnout levels would be higher than a “normal” person — turns out it is only one of the big four.

2) Physician Burnout Cause #2

All the other demands placed on us in private practice that have nothing to do with clinical medicine.
Documentation/EMR, billing, the business of medicine, compensation formulas, practice politics, political uncertainty, our leadership roles we are unprepared for — and many other non-clinical hassles.

3) Physician Burnout Cause #3

The care and feeding of our larger life outside of medicine.
Getting our own physical and emotional needs met, our significant other and family relationships, our personal finances – everything outside of our career. We put this off throughout our training and now our ability to avoid physician burnout hinges on creating this work-life balance.

4) Physician Burnout Cause #4

And last, but certainly not least, our subconscious programming/brainwashing and the four horsemen I have laid out here. Their automatic behavior often throws gas on the fires created by stressors 1-3.  A recipe for physician burnout.

Next Steps:

Here’s a simple way to expose your own brainwashing and lower your physician burnout risk.

Whenever you find an area of your practice or life that is NOT WORKING the way you would like …
Ask yourself:
“How am I perhaps acting like a workaholic, superhero, emotion-free, lone ranger here?”

When you notice one of the four horsemen beneath your automatic behavior in this area …
Ask:
“What might I do differently that will get me more of what I really want?”

TAGGED:physician burnout
Share This Article
Facebook Copy Link Print
Share

Stay Connected

1.5kFollowersLike
4.5kFollowersFollow
2.8kFollowersPin
136kSubscribersSubscribe

Latest News

engineer fitting prosthetic arm
How Social Security Disability Shapes Access to Care and Everyday Health
Health care
August 20, 2025
a woman explaining the document
How a DUI Lawyer Can Help When Your Future Health Feels Uncertain
Public Health
August 20, 2025
physiotherapist at work
How One Fall Can Lead to a Long Road of Medical Complications
Health care
August 20, 2025
Common Healthcare Accreditation Programs
7 Most Common Healthcare Accreditation Programs: Which Should You Use?
Health News
August 20, 2025

You Might also Like

Infographic: Effects of Hepatitis C On the Body

January 5, 2016
Image
Radiology

The Zen of Angiography

November 29, 2012
Specialties

The amazing benefits of talking therapy and how you can help

July 4, 2018
ObesitySpecialtiesWellness

Why You Should Consider Group Exercise For Weight Loss

July 15, 2019
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2025 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?